Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Capital Region Medical Center

Organization Sports Medicine (Family Medicine) Physician · NPI 1447405568

Capital Region Medical Center is a Sports Medicine (Family Medicine) Physician in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008

Practice location Address checks out

1505 SW Blvd
Jefferson City, MO 65109-2431
Phone: (573) 632-5544
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 108684 (MO)

Record details

NPI number1447405568
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Luebbering — Vp Of Finance · (573) 632-5100
Other names Capital Region Physicians - The Sloan Clinic
NPI enumeratedNovember 18, 2008
Last updated in NPPESApril 10, 2014
Mailing address3306 Emerald Ln, Suite A, Jefferson City, MO 65109-6877

Other providers in Jefferson City